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首页> 外文期刊>Clinical kidney journal. >Measuring pain in patients undergoing hemodialysis: a review of pain assessment tools
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Measuring pain in patients undergoing hemodialysis: a review of pain assessment tools

机译：测量接受血液透析的患者的疼痛：疼痛评估工具的综述

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Background Patients undergoing hemodialysis frequently report pain with multifactorial causes, not limited to that experienced directly from hemodialysis treatment. Their pain may be nociceptive, neuropathic, somatic or visceral in nature. Despite this, pain in this population remains under-recognized and under-treated. Although several tools have been used to measure pain in patients undergoing hemodialysis as reported in the literature, none of them have been validated specifically in this population. The objective for this review was to compare and contrast these pain assessment tools and discuss their clinical utility in this patient population. Methods To identify pain assessment tools studied in patients undergoing hemodialysis, a literature search was performed in PubMed and Medline. An expert panel of dialysis and pain clinicians reviewed each tool. Each pain assessment tool was assessed on how it is administered and scored, its psychometric properties such as reliability, validity and responsiveness to change, and its clinical utility in a hemodialysis population. Brief Pain Inventory, McGill Pain Questionnaire, Pain Management Index, Edmonton Symptom Assessment System, Visual Analogue Scale and Faces Pain Scale were evaluated and compared. Results This assessment will help clinicians practicing in nephrology to determine which of these pain assessment tools is best suited for use in their individual clinical practice.
机译：背景技术接受血液透析的患者经常会报告多种原因引起的疼痛，但不仅限于血液透析治疗中直接经历的疼痛。他们的疼痛可能是伤害性的，神经性的，躯体的或内脏的。尽管如此，该人群的疼痛仍未得到充分认识和治疗。尽管如文献所报道，已经使用几种工具来测量接受血液透析的患者的疼痛，但这些工具都尚未在该人群中得到专门验证。这篇综述的目的是比较和对比这些疼痛评估工具，并讨论其在该患者人群中的临床效用。方法为了确定在进行血液透析的患者中使用的疼痛评估工具，在PubMed和Medline中进行了文献检索。透析和疼痛临床医生专家小组审查了每种工具。对每种疼痛评估工具进行了评估，方式和评分，其心理测量特性（例如对变化的可靠性，有效性和响应性）以及其在血液透析人群中的临床效用。评估并比较了简短的疼痛库存，麦吉尔疼痛问卷，疼痛管理指数，埃德蒙顿症状评估系统，视觉模拟量表和面部疼痛量表。结果该评估将帮助从事肾脏病学的临床医生确定哪种疼痛评估工具最适合其个人临床实践。

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